Provider First Line Business Practice Location Address:
6251 GOOD SAMARITAN WAY, SUITE 120A
Provider Second Line Business Practice Location Address:
GOOD SAMARITAN HEALTH CENTER
Provider Business Practice Location Address City Name:
HUBER HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-433-1336
Provider Business Practice Location Address Fax Number:
937-433-1340
Provider Enumeration Date:
08/23/2006